SPECIAL POWER OF ATTORNEY

KNOW ALL MEN BY THESE PRESENTS:

I, _____________________________________, of legal age, Filipino citizen,

single/married, and a resident of ___________________________________, do hereby NAME,
CONSTITUTE and APPOINT, __________________________, of legal age, Filipino,
single/married and a resident of ____________________________________________, as my
Attorney-in-Fact for me and in my name, place and stead, to do and perform the following for
and in my behalf, to wit:

a. To be my authorized representative to transact and negotiate business before Bureau of

Internal Revenue (BIR) in connection to transferring my Revenue District Office.

b. To execute, prepare and sign any paper/document necessary to carry into effect the power
herein given and to do and perform any and all acts as may be necessary to carry out the
foregoing purposes.

HEREBY GIVING AND GRANTING unto my said attorney-in-fact full power and
authority whatsoever requisite and necessary proper to be done in and about the premises as fully
to all intents and purposes as I might or could lawfully do if personally present and shall lawfully
do or cause to be done under and by virtue of these presents

IN WITNESS WHEREOF, I have hereunto set my hand at the City of

_____________________ Philippines, on this ________ day of ______________________.

____________________________
Principal
ID No. ___________________

____________________________
Attorney-in-fact
ID No. __________________

SIGNED IN THE PRESENCE OF:

_____________________________ & ___________________________

ACKNOWLEDGMENT

REPUBLIC OF THE PHILIPPINES )

CITY OF _____________ ) S.S.
x-----------------------------------------------x

BEFORE ME, personally appeared, known to me to be the same person who executed
the foregoing Special Power of Attorney and they acknowledge to me that same is true act and
voluntary deed.

IN WITNESS WHEREOF, I have hereunto affix my signature and notarial seal, this
_______ day of ______________________ at the City of ___________, Philippines.

Doc. No. ____;

Page No. ____;
Book No. ____;
Series of 2018.